Intravenous midazolam suppresses noxiously evoked activity of spinal wide dynamic range neurons in cats

Anesth Analg. 1995 Jan;80(1):58-63. doi: 10.1097/00000539-199501000-00010.

Abstract

The effects of intravenously (i.v.) administered midazolam on noxiously evoked activity of spinal wide dynamic range (WDR) neurons were investigated in decerebrate, spinal-cord-transected cats. Extracellular, single-unit recordings were measured during stimulation by pinching the receptive field on the hind paw and the effect of midazolam at doses of 0.25, 0.5, 1, 2, and 4 mg/kg were measured. Two series of experiments were performed to characterize the analgesic effects of midazolam. In the first, dose-response experiments (n = 59) demonstrated a dose-dependent suppression of the noxiously evoked activity of spinal WDR neurons after midazolam administration. This effect of midazolam was maximal at a dose of 1 mg/kg i.v.. The second series of experiments (n = 14) demonstrated that a benzodiazepine antagonist, flumazenil (n = 8), promptly reversed the effect of midazolam, while an opioid antagonist, naloxone (n = 6), had no effect on the effect of midazolam. The present study demonstrates that i.v. administered midazolam suppresses noxiously evoked activity of spinal WDR neurons that is reversible by a benzodiazepine antagonist. This is consistent with an analgesic action of midazolam.

MeSH terms

  • Animals
  • Blood Pressure / drug effects
  • Cats
  • Dose-Response Relationship, Drug
  • Evoked Potentials
  • Female
  • Flumazenil / pharmacology
  • Heart Rate / drug effects
  • Infusions, Intravenous
  • Male
  • Midazolam / administration & dosage
  • Midazolam / antagonists & inhibitors
  • Midazolam / pharmacology*
  • Neurons / cytology
  • Neurons / drug effects*
  • Neurons / physiology
  • Spinal Cord / drug effects*

Substances

  • Flumazenil
  • Midazolam